Glenoid Bone Grafting

Glenoid bone grafting is a surgical procedure performed to reconstruct or augment the glenoid, the socket portion of the shoulder joint. This is typically done when there is significant bone loss due to recurrent shoulder dislocations, fractures, or other conditions. The procedure involves transferring bone tissue to the glenoid to restore its shape and stability.

Glenoid bone grafting is usually considered when:

Recurrent Shoulder Instability with Bone Loss: When repeated shoulder dislocations have resulted in significant bone loss on the glenoid.
Failed Previous Stabilization Procedures: When prior surgeries to stabilize the shoulder have not been successful due to glenoid bone deficiency.
Large Glenoid Defects: When imaging studies reveal a substantial amount of missing bone on the glenoid.
Revision Surgery: When a previous shoulder surgery needs to be redone and bone loss is an issue.

Anesthesia: General anesthesia is typically used.
Incision: An incision is made over the shoulder joint.
Bone Graft Preparation: The bone graft is harvested or prepared.
Graft Placement: The bone graft is placed onto the deficient area of the glenoid.
Fixation: The graft is secured with screws, plates, or sutures.
Closure: The incision is closed with stitches or staples.

Autograft: Bone taken from another part of the patient's body (e.g., iliac crest, distal tibia).
Allograft: Bone obtained from a deceased donor.
Coracoid Transfer (Latarjet): While also a stabilization procedure, it also adds bone to the glenoid.

Sling: A sling is typically worn for several weeks.
Physical Therapy: Rehabilitation is crucial for regaining shoulder strength and range of motion.
Pain Management: Pain medication is prescribed as needed.
Activity Restrictions: Certain activities are restricted for several months.

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.